Monthly Archives: May 2022

3 Big Things OpenSound Navigator Does for You

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Oticon Medical’s Ponto™ 5 family of bone anchored hearing systems (BAHS) includes OpenSound Navigator™, which handles multiple, dynamic speech and noise sources for you to instantly capture and easily follow the listening environment. This groundbreaking technology and ultra-fast processing analyzes sounds, balances surrounding sounds and removes excessive background noise in a split second. But what does that mean for you, the Ponto wearer? Here are three important ways in which OpenSound Navigator helps you focus on what’s important.

1.      Keeps you connected to your sound environment

Conventional sound processors aim to improve speech understanding by removing sound, such as by using directionality to just focus on the speakers in front of you. While this may improve speech understanding, it can also leave you feeling cut off. Ponto 5 Mini and SuperPower devices take a different approach. The pioneering OpenSound Navigator technology lets you hear sounds from all around you and stay connected with your sound environment.  This makes it easy to follow what’s going on. Ponto 5 uses OpenSound Navigator technology to open up the full soundscape, so you can hear sounds from all directions. New research confirms that this open soundscape gives the brain what it needs to create a better listening experience.

OpenSound Navigator balances surrounding sounds, so the background sounds are available, but not disturbing. In this way, no sounds are eliminated but individual sound sources are rebalanced to support the user in separating sounds, making it easier for you to switch attention when needed.

2.      Provides access to all sounds, which is important for your brain

Good hearing helps your brain to stay fit throughout your life—and helps avoid many other health problems. 1,2,3 In short, hearing health contributes to brain health. That is why we continue to develop BrainHearing™ technology for our Ponto devices. Traditional sound processors improve speech intelligibility by removing sound – using technologies, such as directionality and speech prioritization. Moreover, with traditional sound processors, whenever there is a risk of feedback, gain is reduced. New research now shows that the brain needs access to all sounds from the full soundscape to help it make sense of what it hears.4,5

Hear the difference

With the BrainHearing technologies in Ponto 5 processors, such as OpenSound Navigator and OpenSound Optimizer™, users have access to more sound than ever before. This has resulted in outstanding results in improving speech understanding and reducing listening effort.

Better speech understanding

The unique open sound experience of OpenSound Navigator in Ponto 5 gives users access to 360° sound from all around them, which has been shown to improve speech understanding by more than 20%.*6

Less listening effort

The open sound experience also significantly reduces the listening effort needed to make sense of sound. Pupillometry tests carried out on the OpenSound Navigator showed overall pupil dilation was reduced by 36%.*6

How can you measure listening effort? Pupillometry tests measure the listener’s pupil size as an
indicator of brain activity. In listening tests, pupil dilation reflects the effort needed to understand: the bigger the pupil, the greater the effort. 6

*Increased speech understanding with OpenSound Navigator ON measured as a percentage relative to the baseline with OpenSound Navigator OFF.

1.      Recognizes the difference between “Noise” and “Sound”

Kevin Hotaling is a Ponto user* and had this to share regarding his real-life experience with OpenSound Navigator:

“When I first wore a Ponto device with OpenSound Navigator after having used an older model for years, it was a truly awakening experience. After events in public venues and family gatherings where lots of sound was present, I noticed the system I was wearing put in a type of effort that I didn’t believe possible at the time. My device seemed to actively recognize the difference between “Noise” and “Sound.” It also seemed to be prioritizing and amplifying sounds that were important, such as a person’s voice with whom I was speaking, and dampening noises that were not as important, like the movement of dishes in a restaurant or background chatter. After a while, I also noticed I was paying far less attention to the fact that I was wearing a bone-anchored hearing system—and that’s a good thing! I was spending far less energy on trying to hear. The best type of hearing is the type you don’t have to think about, and I finally have that with OpenSound Navigator!”

Connect with other Ponto users

Hearing what others have to say about their experience and getting advice from those who have been in your shoes is invaluable! One easy way to get started is inside the Ponto Care™ app under Information. There are video and written testimonials by Ponto users that you can easily access to check out what others have to say about their Ponto experience. We can also connect you with an Oticon Medical Ponto Advocate. Simply contact Oticon Medical online  or call 888-277-8014.

Another way to connect is by following our Oticon Medical Facebook Page. Here you can chat with Ponto users, as well as read interesting posts and short articles.

Try the open sound experience for yourself. Ask for a trial of Ponto 5 Mini or Ponto 5 SuperPower and congratulations from our team on beginning your journey toward better hearing health!

About the Author

Gail Leininger, Au.D., CCC-A is an audiologist who has worked with implantable technologies for over twenty years. She is an Auditory Technical Specialist for Oticon Medical.

* Financial Disclosure

Kevin Hotaling is an employee of Oticon Medical. He is a Ponto user of seven years, and has been a consumer advocate, speaker, and ambassador with Oticon Medical for just as long.

 References

1 Amieva, H., et al. (2018). Death, depression, disability, and dementia associated with self-reported hearing problems: a 25-year study. The Journals of Gerontology: Series A, 73(10), 1383-1389

2 Lin, F. R., et al. (2011). Hearing loss and incident dementia. Archives of Neurology, 68(2), 214-220

3 Lin, F. R., et al. (2012). Hearing loss and falls among older adults in the United States. Archives of internal medicine, 172(4), 369-371

4 O'Sullivan, et al. (2019). Hierarchical Encoding of Attended Auditory Objects in Multi-talker Speech Perception. Neuron, 104(6), 1195-1209

5 Puvvada, K. C. et al. (2017). Cortical representations of speech in a multi-talker auditory scene. Journal of Neuroscience, 37(38), 9189-9196

6 Manuscript in preparation, Data on File - Clinical study BC102

Bianchi, F, Weile, J N et al. (2020). OpenSound Navigator™ for Ponto, Oticon Medical white paper 215170.

[Oticon Medical us website link https://www.oticonmedical.com/us/the-new/open-sound-navigator ]

How Advocacy Led Emma Kate’s Family to the Right Hearing Loss Treatment

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Longtime Oticon Medical advocates Georgene and Lucy Brown befriended Liz and Emma Kate Greene, which led to Emma Kate getting a Ponto™ bone anchored hearing system (BAHS) to treat her single-sided deafness (SSD). Now Liz shares her family’s journey toward finding the right solution and the vital roles Georgene and Lucy played in making their decision.

Emma Kate has single-sided deafness due to conductive hearing loss. This is secondary to otosclerosis, which was first diagnosed in kindergarten, but we suspect occurred in 4K as we had quite a bit of difficulty that year following directions. Her teachers actually thought she was autistic because she had difficulty interacting at school, but we had no difficulty at home. We suspect this was because there was less background noise and because her dad and I both have strong (loud) voices.  

She initially used a behind-the-ear regular hearing aid. She told us that this did not improve her hearing almost at all and we had a lot of difficulty getting her to wear the device. She also had difficulty being active as her device would frequently fall off and get lost.

Discovering bone conduction as a treatment option

We were first introduced to the idea of a bone anchored hearing device by our ENT when Emma Kate was 10 but he told us this wouldn’t be an option until she was older for implant. He did not offer the option of wearing a device on a softband. He also dealt exclusively with another manufacturer and therefore Ponto was not offered as an option. Once we were introduced to the idea of bone anchored devices, I did a lot of research into available devices along with the pros and cons of each, which lead us to a new ENT who was able to work with Oticon Medical devices.

As part of my research, I joined several social media groups geared towards bone anchored devices for both adults and children. In asking questions in these groups I was frequently referred to Georgene Brown, as our daughters are close in age and both active. She was incredibly friendly and informative when I reached out and has always been willing to spend time discussing her vast knowledge regarding bone anchored devices.

I think that all preteens, especially preteen girls, want to feel like they fit in. Any difference is upsetting, particularly when you feel that you’re the only one dealing with an issue. Emma Kate’s friendship with Lucy Brown has helped her feel that someone else understands the challenges that she has from being hearing impaired and also the fears that come with requiring surgery, how to fit in at school, etc. It has been incredibly beneficial to Emma Kate to be able to talk to someone who has lived through these experiences and is thriving despite hearing loss.

The next step: minimally invasive implantation surgery

Emma Kate’s abutment placement was incredibly smooth. We had a same-day procedure. She recovered from anesthesia without difficulty and was playing her guitar about two hours after we left the hospital. We had no difficulty with healing or infections. We were able to activate her Ponto about six weeks after her procedure. The most difficult part was not using her Ponto during that time at school.

Emma Kate says that since having her abutment implanted, she can hear better and that it is much more comfortable to wear her Ponto as opposed to when she was wearing the softband.* She also states that she was embarrassed for people to see the softband but feels that her Ponto is now much more discreet. She is able to be active without her Ponto moving but states that her softband would slip out of place sometimes when moving between classes at school.

The benefits of Ponto 5 Mini

Now, having the new Ponto 5 Mini makes Emma Kate’s life even easier. We first noticed an improvement when Emma Kate began wearing a Ponto on a softband However, the benefits have increased since her MIPS procedure. At home, she is able to engage more at dinner or in conversations.

At school, Emma Kate uses an EduMic™ to stream her teachers’ voices directly to her Ponto. Particularly in middle school where she has multiple teachers, some of whom are very soft-spoken or teach from the back of the room, this has been incredibly helpful. Again, this is particularly helpful during the pandemic, as many teachers are wearing masks. We have seen an improvement in her grades from consistent B’s and C’s to A’s and B’s.

She also has found significant improvement in everyday activities. She loves to play guitar and listen to music. Her Ponto has significantly improved her ability to follow music while playing her guitar and to watch TV or listen to music without the whole house hearing what she’s watching. She loves the ability to stream music directly to her Ponto, especially on road trips.

Emma Kate would say her greatest improvement is socially. She is much more confident engaging in conversations since she is not frequently having to ask her friends to repeat themselves. And this is particularly helpful in settings with background noise, such as restaurants, parties, and the cafeteria at school.

The Ponto 5 Mini’s small size, as well as the lack of feedback (due to the OpenSound Optimizer™ feature) when worn under her thick, long hair were both critical in our decision-making when comparing devices initially. She also uses the Bluetooth® capability almost daily. We have not yet used a remote appointment (via the RemoteCare™ feature) with our audiologist but have discussed that this is possible in the future. 

What parents considering a BAHS for their child should know

I want someone considering getting a bone anchored hearing device to know that there are options. Frequently, only one popular brand’s products are presented but there are other companies, such as Oticon Medical, that have incredible products as well as unparalleled support. When I initially reached out to Oticon Medical to get information prior to deciding to pursue a Ponto, I was immediately connected with a local representative who was present at Emma Kate‘s activation appointment and has been invaluable throughout this process. She is constantly willing to help me adjust settings as well as obtain necessities, such as an extra case or support for school.

I would also want them to know that there may be insurance challenges. However, our ENT and Oticon Medical have been incredibly helpful in working through these.

Lastly, and perhaps most importantly, I want them to know that they are not alone. There are multiple support groups available online through social media that can help connect to other parents as well as young adult and adult patients who are using bone anchored hearing devices in their everyday lives. These individuals are always more than willing and gracious to answer questions, provide experiences, and to just listen to the frustrations and fears that unavoidably come with having a child with hearing loss. We have found this community, particularly Georgene and her family, to be our biggest cheerleaders through this process. They have helped alleviate Emma Kate’s fears, as well as our concerns, while having our daughter go through a surgical procedure, healing, and ultimately making life-changing decisions. We are so thankful we found Oticon Medical because even in the short time that we have been using Emma Kate’s Ponto we have seen vast benefits.

Ready to try a Ponto bone anchored hearing system? Find a clinic near you!

* NOTE: Implantation is contraindicated for children below the age of 5 years.